Individual
BABITH MANKIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 S 19TH ST, TACOMA, WA 98405-2922
(253) 301-6850
Mailing address
2121 S 19TH ST, TACOMA, WA 98405-2922
(253) 301-6850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60136124
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60136124
WA
207RP1001X
Pulmonary Disease Physician
MD25897
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD60136124
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278884
—
OR
Enumeration date
01/25/2007
Last updated
04/01/2011
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